Organization
MEDICAL IMAGING AND MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN HENRY PEVSNER MD (PRESIDENT)
(813) 496-1075
Entity
Organization
Contact information
Practice address
2500 N MILITARY TRL, STE 1258, BOCA RATON, FL 33431-6344
(813) 496-1075
(813) 249-7762
Mailing address
4519 GEORGE RD, STE 100, TAMPA, FL 33634-7329
(813) 496-1075
(813) 249-7762
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
ME19375
FL
Other
Enumeration date
06/21/2007
Last updated
11/27/2007
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